Spontaneous recovery from rapidly progressive glomerulonephritis.

small meals (owing to distortion of the stomach and cardio-oesophageal junction); and (5) an abdominal fluid thrill but no shifting dullness, indicating a localised collection of fluid and clotted blood. The likely pathogenesis of the haemorrhage is over-distension of the stomach with tearing of a small blood vessel in the lesser omentum. The blood tracks inferiorly, stripping peritoneum from the posterior wall of the stomach, into the greater omentum. Our case shows that if the condition is promptly recognised good results may be achieved with early transfusion of adequate quantities of blood and antihaemophilic globulin and without surgical intervention.